SSM Health Saint Louis University Hospital
1201 S Grand Blvd, Saint Louis, MO · SSM Health · · NPI 1942685920
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $164.08 – $200.91 | 7 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $186.31 – $253.09 | 8 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $17.68 – $34.31 | 8 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $0.02 – $2,761,088.00 | 7 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.53 – $18.13 | 8 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $31.73 – $62.84 | 8 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $0.02 – $0.02 | 1 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $20.66 – $40.84 | 8 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $136.48 – $261.54 | 8 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.06 – $0.06 | 1 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.11 – $2.27 | 8 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $7.69 – $15.97 | 3 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.41 – $5.27 | 8 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $519.25 – $519.25 | 1 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $467.63 – $467.63 | 1 |
| Inj for ext venography CPT 36005 | $935.00 | $1,700.00 | $60.31 – $3,085.00 | 4 |
| Inj for mammo ductogram CPT 19030 | $117.70 | $214.00 | $96.44 – $3,085.00 | 4 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $0.04 – $1.91 | 8 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $493.77 – $1,067.56 | 8 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $7.22 – $7.22 | 1 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $7.14 – $49.66 | 8 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $21.20 – $50.00 | 7 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | not published | not published | $6.24 – $7.33 | 2 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $107.50 – $107.50 | 1 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $395.60 – $395.60 | 1 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $9.81 – $11.37 | 2 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $115.47 – $158.23 | 8 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,770.91 – $3,766.82 | 8 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $2.02 – $3.98 | 3 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | not published | not published | $3.44 – $3.44 | 1 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $192.00 – $344.00 | 2 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $3.15 – $7.95 | 8 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $65.58 – $140.93 | 8 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $26.02 – $26.02 | 1 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $0.02 – $4,429,740.00 | 7 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $5.58 – $6.47 | 2 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $57.18 – $113.96 | 8 |
| Inj, hercessi, 10 mg HCPCS Q5146 | not published | not published | $31.81 – $74.25 | 7 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $53.84 – $128.68 | 8 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $77.00 | $140.00 | $58.65 – $7,906.00 | 3 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | not published | not published | $73.18 – $7,906.00 | 3 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $76.66 – $7,906.00 | 3 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $297.00 | $540.00 | $57.32 – $7,906.00 | 3 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $38.50 | $70.00 | $57.38 – $7,906.00 | 3 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.46 – $2.82 | 8 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | not published | not published | $5.18 – $6.53 | 7 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $29.33 – $29.33 | 1 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $77.13 – $147.03 | 8 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $15.02 – $48.33 | 2 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $2.50 – $5.61 | 3 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $79.62 – $143.56 | 7 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.14 – $0.28 | 3 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $484.40 – $919.24 | 8 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $179.04 – $2,020.00 | 9 |
| Inj. infugem, 100 mg HCPCS J9198 | not published | not published | $81.70 – $81.70 | 1 |
| Inj. insulin (fiasp) HCPCS J1812 | not published | not published | $3.12 – $3.12 | 1 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $341.55 | $621.00 | $37.81 – $3,085.00 | 9 |
| Inj intralesional > 7 lsns CPT 11901 | $30.80 | $56.00 | $58.19 – $3,085.00 | 9 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $12.62 – $24.11 | 8 |
| Inj ivig privigen 500 mg HCPCS J1459 | not published | not published | $49.28 – $94.12 | 8 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.90 – $3.55 | 8 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.45 – $4.91 | 8 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.48 – $2.90 | 8 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | not published | not published | $2.56 – $2.97 | 2 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $86.45 – $161.91 | 7 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $19.92 – $55.36 | 8 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.32 – $2.46 | 8 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $1.46 – $1.46 | 1 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $21.98 – $41.09 | 8 |
| Inj levocarnitine per 1 gm HCPCS J1955 | not published | not published | $43.79 – $52.22 | 2 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.09 – $0.11 | 2 |
| Inj, levothyroxine, freskabi HCPCS J0651 | not published | not published | $3.82 – $12.67 | 8 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $5.14 – $11.05 | 3 |
| Inj, lidocaine w epinephrine HCPCS J2004 | not published | not published | $0.02 – $0.02 | 1 |
| Inj, linezolid (hospira) HCPCS J2021 | not published | not published | $11.76 – $13.63 | 2 |
| Inj, lovotibeglogene autotem HCPCS J3394 | not published | not published | $0.02 – $3,882,364.78 | 7 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $318.01 – $610.39 | 8 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $22.93 – $28.07 | 7 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $0.02 – $3,683.57 | 7 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $5,290.45 | $9,619.00 | $131.95 – $2,187.00 | 4 |
| Inj marstacim-hncq, 0.5 mg HCPCS J7172 | not published | not published | $50.17 – $94.78 | 7 |
| Inj. meloxicam 1 mg HCPCS J1738 | not published | not published | $6.73 – $6.73 | 1 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $96.86 – $2,196.52 | 9 |
| Inj, melphalan (apotex) 1 mg HCPCS J9249 | not published | not published | $63.48 – $77.73 | 6 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | not published | not published | $773.80 – $1,474.73 | 8 |
| Inj menotropins 75 iu HCPCS S0122 | not published | not published | $542.79 – $542.79 | 1 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | not published | not published | $7.33 – $8.21 | 2 |
| Inj, meropenem (b. braun) HCPCS J2184 | not published | not published | $3.84 – $4.47 | 2 |
| Inj., meropenem, vaborbactam HCPCS J2186 | not published | not published | $2.10 – $2.67 | 7 |
| Inj meropenem (wg crit care) HCPCS J2183 | not published | not published | $1.65 – $3.48 | 3 |
| Inj, micafungin (par pharm) HCPCS J2247 | not published | not published | $0.69 – $0.77 | 2 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | not published | not published | $32.00 – $79.85 | 8 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | not published | not published | $243.32 – $460.96 | 8 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | not published | not published | $25.22 – $46.78 | 8 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $16.72 – $18.73 | 2 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | not published | not published | $13.75 – $16.68 | 2 |
| Inj multihance HCPCS A9577 | not published | not published | $3.23 – $3.74 | 2 |
| Inj multihance multipack HCPCS A9578 | not published | not published | $3.17 – $3.68 | 2 |
| Inj. mycophenolate mofetil HCPCS J7519 | not published | not published | $0.67 – $0.88 | 2 |
| Inj naloxone hydrochloride HCPCS J2310 | not published | not published | $8.14 – $12.29 | 2 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.